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CREOG > Rosh (11/10 - 11/23) > Flashcards

Rosh (11/10 - 11/23) Flashcards

1
Q

What syndromes often include omphalocele?

A

Beckwith-Wiedemann, cloacal exstrophy, or Pentalogy of Cantrell

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2
Q

Vulvar cancer risk factors

A
  • VIN or CIN
  • prior history of cervical cancer
  • cigarette smoking
  • lichen sclerosis
  • immunodeficiency
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3
Q

Most common and second most common type of vulvar cancer

A

Squamous

Melanoma

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4
Q

How common is vulvar cancer?

A

4th most in the US

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5
Q

Biophysiologic mechanism of estrogen

A

Nuclear receptor binding

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6
Q

Contraindications to mesh

A

Cigarette smoking

Chronic steroids

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7
Q

Criteria to diagnose APLS

A

Anti-beta 2 glycoprotein antibody or anti-cardiolipin antibody > 99 percentile at least twice 12 weeks apart

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8
Q

Most common chromosomal abnormality in miscarriage

A

Monosomy X

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9
Q

Two most common medications for urinary urgency and their classes of action

A

Oxybutynin - antimuscarinic

Mirabegron - adrenergic agonist

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10
Q

Vessels injured in vulvar hematomas

A

Inferior rectal, perineal, posterior labial, urethral

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11
Q

Vessels injured in vaginal hematomas

A

Descending branch of uterine artery

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12
Q

Vessel injured in retroperitoneal hematomas

A

Hypogastric

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13
Q

Injury from hip hyperflexion

A

Femoral nerve - unable to extend knee

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14
Q

Injury from pressure on lateral knee

A

Peroneal nerve - foot drop

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15
Q

Prolonged and deep abdominal retraction

A

Pudendal nerve - vulvar pain

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16
Q

Nerve injury during pelvic LND

A

Obturator - weakened thigh addiction

17
Q

Most frequently injured bladder part in GYN surgery

A

Dome

18
Q

How many yearly infections constitutes recurrent BV?

A

More than 3

19
Q

Amsel’s criteria

A

1) >20% clue cells in wet mount
2) Thin white homogeneous discharge
3) pH > 4.5
4) Positive whiff test

(3/4 makes diagnosis of BV)

20
Q

How long till trying to conceive after MTX?

A

3 months

21
Q

OB and GYN signs of vertical uterine septum

A
  • infertility or RPL
  • PPROM
  • malpresentation
  • menstrual abnormalities
22
Q

DES abnormalities

A
  • T shaped uterus
  • vaginal adenosis
  • vaginal ridges
  • transverse uterine septum
23
Q

Contraindications to breastfeeding

A
  • infant galactosemia
  • maternal HIV
  • untreated TB
  • HTLV
  • drug use
  • some chemotherapy
  • radiation
24
Q

Two single agent chemotherapy agents for GTN

A

MTX or dactinomycin

25
Q

What enzyme is stopped by MTX?

A

Dihydrofolate reductase

26
Q

Which GTN are resistant to chemotherapy?

A

Placental site and epithelioid trophoblastic tumor

27
Q

Branches of anterior division of internal iliac

A

Umbilical, uterine, superior vesical, vaginal, inferior gluteal, internal pudendal

28
Q

Branches of posterior division of internal iliac

A

Iliolimbar, lateral sacral, superior gluteal

29
Q

Branches of external iliac artery

A

Inferior epigastric, recurrent obturator

30
Q

Venous drainage of ovaries

A

Right to IVC, left to renal vein

31
Q

Timing for CVS vs amnio

A

CVS 10-13 6/7 wks

Amnio ideally >15 wks

32
Q

HELLP lab abnormalities for pre eclampsia

A

Platelets <100,000
Cr >1.1 or double baseline
Double of LFTs

33
Q

Third degree laceration categories

A

3a <50% into external anal sphincter
3b >50%
3c involves internal anal sphincter
(4 into rectal mucosa)

34
Q

HPV associated with condyloma accuminata

A

HPV 6 / 11

35
Q

Muscle cut in episiotomy

A

Bulbocavernosus

36
Q

Bug and treatment for TSS

A

Most commonly MSSA or strep; clindamycin / vancomycin

37
Q

Probability of sarcoma in a fibroid

A

1:350

38
Q

Fetal signs of toxoplasmosis infection

A

Ventriculomegaly, intracranial calcification, microcephaly, ascites, hepatosplenegaly, IUGR

39
Q

HSV suppression doses

A

Acyclovir 400 mg BID
Famciclovir 250 mg BID
Valacyovir 500 - 1000 mg QD

CREOG (8 decks)

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